- Elevance Health (CA)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... embassy located in or outside of the US. + A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * _For Health Solutions and Carelon organizations (including behavioral… more
- Emanate Health (Covina, CA)
- …of revenue cycle processes and functions such as charge capture, audits, appeals , denials, and chargemaster required. Advanced Excel and data analysis skills ... Delivering world-class health care one patient at a time. Pay Range: $33.00 - $48.87 We are more than just a health system. At Emanate Health, we are a catalyst for change and a beacon for healthier lives. When you come to any one of our locations… more
- Public Consulting Group (Sacramento, CA)
- …obtain documentation, provide education as needed, and to address and attend reconsideration appeals as necessary. + Create a thorough written report to document the ... results of the investigations and to recommend corrective actions to the NC Division of Health Benefit (DHB) Office of Compliance and Program Integrity (OCPI). + Create written referrals when appropriate to the State Board of Dental Examiners, or other entity… more
- Genentech (South San Francisco, CA)
- …(eg, reexamination, reissue, post-grant review), including foreign oppositions and appeals , as they may arise + Balance competing priorities **Collaborating, ... Managing, & Supporting Teams:** + Provide IP support for partnering and other agreements (eg, major licensing agreements, research collaborations, MTAs, CDAs) + Support intellectual property-related transactional and litigation work + At times, direct and… more
- Emanate Health (Covina, CA)
- …of a patient account that is involved in the audit and appeals process to accurately complete accounts receivable reconciliation. **Minimum Education Requirement:** ... High School Graduate or equivalent with some college preferred **Minimum Experience Requirement:** Five (5) years of experience required. Experience includes: hospital billing and collection experience such as clinical denials or reference to a denials… more
- Genentech (South San Francisco, CA)
- …+ Independently managing an active and varied caseload of litigations, appeals , and other adversarial proceedings, while advising on substantive legal strategy ... with foresight and appropriate risk tolerance. + Partnering closely with business clients and legal department colleagues to advise on a range of strategic issues while using a practical and business-minded approach. + Developing strategies to avoid or resolve… more
- Sacramento County (Sacramento, CA)
- …Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days after notice of the ... adverse action was mailed to the candidate. FOR MORE INFORMATION PLEASE VISIT OUR FREQUENTLY ASKED QUESTIONS (FAQs): https://personnel.saccounty.net/Pages/EmploymentServicesFAQs.aspx OTHER INFORMATION VETERAN'S PREFERENCE: Military veterans who have served… more
- UIC Government Services and the Bowhead Family of Companies (Los Angeles, CA)
- …Courts, representing DHS in appellate proceedings before the Board of Immigration Appeals , and providing support and direction to the Department of Justice, Office ... of Immigration Litigation, as well as to the US Attorney's Offices nationwide. The Chief Counsel's office handles confidential and high-level documentation. This position is full-time, benefits eligible at an hourly rate of $22.59 plus $4.93 H&W (Health and… more
- Sharp HealthCare (La Mesa, CA)
- …to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers.Review all cases with readmission within 30 days; ... report findings in Care Management software such as Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as… more
- University of Southern California (Los Angeles, CA)
- …job descriptions for appropriate classification, job family placement, and equity; oversee appeals and exception requests. + Ensure job profile data is accurately ... maintained in the HRIS system and leverage technology to streamline and improve processes. + Provide expert consulting services to HR partners and managers on compensation best practices, new hire offers, promotions, and salary adjustments. + Measure client… more